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Home My WebLink About1000-30.-2-132 Of o TOWN OF SOUTHOLD Rental Permit k 1459 Owner: Lavender Barns LLC Occupied as: Single Family Dwelling Located at: 745 Golf View Ct East Marion 30.-2-132 Maximum Permitted Occupancy: 6 Is in compliance with all of the provisions of the code of the Town of Southold, the laws and sanitary and housing regulations of the County of Suffolk and by the laws adopted by the New York State Fire Prevention and Building Code Council, Expiration is two (2) years from date of issue. The operator is responsible for arranging for the bi-annual inspection. Issued: 05/08/2026 Expiration: 05/07/2028 de Enf4ment official This Notice must be posted by the main entrance at all times TOWN OF SOUTHOLD—BUILDING DEPARTMENT0026 � y * M ° Town Hall Annex 54375 Main Road P. O. Box 1179 Southold,NY 11971-05 ' . Telephone (631) 765-1802 Fax (631) 765-9502 htt11s:/a",E w.southoldqj�y in gov C'een F., RENTAL PERMIT APPLICATION tGL4 f- I It tS-b Rental Permit Fee $300 (Application must be renewed every two years) O Section A. Property Information: Rental Property Address: VC l o Tax Map Number: 1000 SECTION J , -BLOCK . -LOT SECTION B. OWNER INFORMATION: Property Owner Name: Property Owner Legal Address: Property Owner Mailing Address: (Cannot be the same as Re tali Property Address) Telephone Number (s): Daytime Evening $ Emergency Property Owner Email Address: r l �� `n►c�'��6Y1C�'si I . Cc�m oir Loven&'tfbans1-@ GA .com Page 1 of 4 Section C. Authorized Agent Information: Name of Authorized Agent of dwelling unit, if any: I Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: (� ( 11 .21LOP" - Telephone Number (s): Daytime Evening Emergency .92 Email Address: , Section D. Managing Agent Information: Name of Authorized Agent of dwelling unit, if any: Address of Authorized Agent (no P.O. Boxes): Mailing Address of Authorized Agent: Telephone Number (s): Daytime Evening Emergency Email Address: SECTION E. SITE MANAGER INFORMATION: (required for rental properties containing 8 or more rental units) Name of Managing Agent of dwelling unit, if any: Address of Managing Agent (no P.O. Boxes): Mailing Address of Managing Agent: Telephone Number (s): Daytime Evening Emergency Email Address: Page 2 of 4 SECTION F. PROPERTY DESCRIPTION: Number of Rental Dwelling Units on property: For each Rental Dwelling Unit set forth the Rental Dwelling Unit identifier(for example, Unit 1, Unit 2, Unit 3 or Apt A, B, Q the use of each room in the Rental Dwelling Unit (for example, Kitchen, Bedroom 1, Bedroom 2, Living Room) and the dimensions of each room. For properties with multiple Rental Dwelling Units use "Rental Permit Application Addendum." Rental Dwelling Unit Identifier: JV1 (� Requested Maximum number of persons allowed to occupy Dwelling Unit: Number of rooms in Rental Dwelling Unit: Use and Dimensions of each room in Rental Dwelling Unit: (� _ 3 . LiVM (35" 251'. 'r I w 6A rod ol I( 1-7/q",42-3 14�--r LA 11 4e (J3 -,Jff 11� 114""FIA J411tI(L. <4wv,-,1A SECTIOI G. 2- 4 INSPECTION: Pursuant to the Town Code of the Town of Southold Chapter 207 (Rental Properties), a safety inspection by Code Enforcement Official is required. If the owner chooses not to have said inspection performed by the Town, a certification from a licensed architect, a licensed professional engineer or a home inspector who has a valid New York State Uniform Fire Prevention Building Code Certification is required stating that the property which is the subject of the rental permit application is in compliance with all of the provisions of the code of the Town of Southold, the laws and sanitary and housing regulations of the County of Suffolk and by the laws adopted by the New York State Fire Prevention and Building Code Council. (� I am requesting a fire safety inspection to be performed by a Code Enforcement Official rom the Town of Southold I am submitting a completed Town of Southold certification form from a licensed architect or a licensed professional engineer. Page 3 of 4 SECTION H. DECLARATION: Signature must be notarized and MUST be the owner of the dwelling unit. STATE OF NEW YORK) NE * COUNTY OF 0 I certify under penalty of perjury, the following. 1. 1 am the owner of the property identified in "Section A" of this application, 2. The property owner's legal address set forth in "Section B" of this application is my legal address and I understand the Town will use the address for service pursuant to all applicable laws and rules. I further acknowledge that I will notify the Town of Southold Building Department of any changes of address within five (5) days of any changes thereto. 3. 1 have read and received a copy of Chapter 207 of the Code of the Town of Southold and agreed to abide by the same. 4. 1 will notify the Town within five (5) business days s to any change to the information regarding Authorized Agent, Managing Agent, or Site Manager. Property Owner's Name: Property Owner's Signature: -Wmm' 62,e '�I,P414 *�a rc Sworn to bef me is a �` � `� ��, , 20, lc ign tore and Original Notary Stamp Official Notary Pub i a ERIC$RI:AN LAMONS NOTARY PUBLIC,STATE OF NEW YORK Registration No.02LA6389444 Qualified in New York&Westchester County My Commission Expires 4 C4 -L2 Page 4 of 4 Town Hall Annex r, Telephone(631)765-1802 54375 Main Road P. O. Box 1179 ze Southold, NY 11971-0959 1 , ° �� BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PERMIT APPLICATION ADDENDUM n Rental Dwelling Unit Identifier: OVA & -�^ Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and D' ensign of ea room: �� 1 r -21 04 x.2304, .2 Jo Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: Rental Dwelling Unit Identifier: Requested maximum number of persons allowed to occupy each dwelling unit: Number of Rooms in Rental Dwelling Unit: Use and Dimension of each room: TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 2 - P _ 3 D-- I N S wrft mcm (oftir T I Oft N [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: pe 2S0,1 0 � A,La 071 DATE — INSPECTOR TOWN OF SOUTHOLD BUILDING DEPT. 631-765-1802 rl ZI P E I [ ] FOUNDATION 1ST/ REBAR [ ] ROUGH PLBG. [ ] FOUNDATION 2ND [ ] INSULATION/CAULKING [ ] FRAMING /STRAPPING [ ] FINAL [ ] FIREPLACE & CHIMNEY [ ] FIRE SAFETY INSPECTION [ ] FIRE RESISTANT CONSTRUCTION [ ] FIRE RESISTANT PENETRATION [ ] ELECTRICAL (ROUGH) [ ] ELECTRICAL (FINAL.) [ ] CODE VIOLATION [ ] PRE C/O [ RENTAL REMARKS: / ww f ��M DATE J? �3 INSPECTOR Town Hall Annex 2k�� Town Of Southold 54375 Main Road ' rF Rental Inspection Report PO Box 1179 z "7 Southold, NY 11971-1179 Te1: 631-765-1802 SUM # 0— Date '�- Owner L2Phone Address � S ,/ Visible Hamlet Inspector Floor Level Quantities Sub 1 2 3 Smoke Detectors(not located in bedrooms) Carbon Monoxide Detectors Fire Extinguishers Exits Bedrooms 1 2 3 4 5 6 Smoke Detectors Egress Occupant Count Building Systems Maintained &Operational Condition of Property Heating Building interior Hot water Building exterior Electrical Property clean, maintained &safe Mechanical lHandrails&guards installed &secure Pool Safety Pool on Site Surface water alarm Date of CO issuance o702� Door alarms Pool completely enclosed Self closing/latching gates Pool fence to code requirements CO's for all items resent Pr ftkfhl 1 Comments: . Mar 8, 2026 Ire Town Hall Annex Y Telephone(631)765-1802 54375 Main Road Fax(631)765-9502 P.O.Box 1179 ¢g Southold,NY 11971-0959 BUILDING DEPARTMENT TOWN OF SOUTHOLD RENTAL PROPERTY CERTIFICATION Form is to be completed by a license architect, licensed engineer or licensed home inspector Separate form is required for each individual Rental Dwelling Unit Lro,essional seal required Lor Architect or Engineer licensed Home Inspector must Provide gogy of valid current ced ication Rental Property SCTM Number: Rental Property Address: 745 Golf View Ct. East Marion NY 11939 Owner/Name: Lisa Gornick & Ken Hollenbeck Rental Dwelling Unit Identifier: Number & Square footage of each bedroom as depicted in the attached floor plan: (i.e. Bedroom #1 -100 sq., Bedroom#2-90 sq., etc.) Bedroom #3 500 sgft Bedroom #2 140 4ft Property Description (Include all improvements indicated on survey) I certify that I have done a physical inspection of the subject rental dwelling unit and find that it fully complies with all the provisions of the Code of the Town of Southold, the Residential Code of New York State,the Building Code of New York State, the Plumbing Code of New York State, the Fuel Gas Code of New York State, and the Energy Conservatlop Construction Code of New York State. Victor Cornelius III CEO Inspector Print Name and Title ceo# 1216-0283 Orig nal Signature Please place professional seal: SCTM # TOWN OF SOUTHOLD PROPERTY REC a %� OWNER STREET VILLAGE I ,UB. LOT J o_ ACR REMARKS TYPE OF BLD. PROP. CLASS LAND IMP. TOTAL DATE 9% j JJ i i FRONTAGE ON WATER HOUSE/LOT i BULKHEAD TOTAL 3 E TOWN OF SOUTHOLD PROPEL _ STREET VILLAGE uisi: SUB. LOT FORMER OWNER P'i f !rn r N E CR Vi SS0 S W TYPE OF BUILDING z RES. ;' r!� SEAS. VL. FARM COMM. LAND IMP. TOTAL DATE REMARKS e > a r 1'7M �y , 2 Cl1tJ ' /Z� d Is ? w 2 L ,Z �Q�aI �o rbtLa F ._ �- -... ---... ®s -. �..��.. - •• g `t '-mac *. ,ra i3 _} a _ 1 .�. FRONTAGE ON WATER TILLABLE FRONTAGE ON ROAD WOODLAND DEPTH MEADOWLANDj I BULKHEAD HOUSEILOT TOTAL o, COLOR VjaJV— i i= TRIM. o 24 I' i� F 30:2-132 2/06 .� M. Bldg. Foundation a.c. c B- Bath 3 Dinette FULL V Extension Basement CRAWL Floors Kit. SLAB Extension Ext. Walls Interior Finish L.R. Extension Fire Place Z� Heat D.R. £ Patio Woodstove BR. 1 Porch Dormer Fin. B. Deck Attic Breezeway Rooms 1st Floor Garage 1°6� Driveway Rooms 2nd Floor , O.B. ^ kk Pool �Q� s. �1 ^. , ti COLOR TRIM 30.-2-132 2/3/2021 1 st 2nd PC = CB M. Bldg. 3 50 Foundation OTHER Bath Dinette L m �4, — 4,4 Extension Es COMBO \�� ?zs (q ,� Basement `S� PARTLAL Floors 4, Kit. �xtensic� :- - pO Finished B. Ce&OLIC Interior Finish L.R. f� �"k 2Li= Lo-` 34 5 c.� Extension 3 - o O Fire Place A Heat D.R. � Garage Ext. Walls BR. Porch Dormer Baths Deck/Patic _ Fam. Rm. Pool Soo Foyer ✓ A.C. Laundry Library/ O.B. � � � Stud y Dock r t , ca 2 n-7 1"UXI'I Nu. 4 TOWN OF SOUTHOLD BUILDING DEPARTMENT Office of the Building Inspector Town Hall Southold, N.Y. CERTIFICATE OF OCCUPANCY No: Z-32454 Date: 17 09 0 THIS CERTIFIES that the building NEW DWELLING Location of Property: 745 GOLF VIEW CT EAST MARION (HOUSE NO.) (STREET) (HAMLET) County Tax Map No. 473889 Section 30 Block 2 Lot 132 Subdivision Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated NOVEMBEg 28, 2005 pursuant to which Building Permit No. 31635-Z dated NOVEMBER 29, 2005 was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is SINGLE FAMILY DWELLING AS APPLIED FOR. The certificate is issued to RONNI:E L HILL (OWNER) of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL R10-05-0079 05 20/07 ELECTRICAL CERTIFICATE NO. 3777 C}4 03/07' PLUMBERS CERTIFICATION DATED 06/ 3/07 GARY STAHL A hor' ed �gnature Rev. 1/81 Town of Southold 10/1/2022 �.a''�% P.O.Box 1179 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43466 Date: 10/1/2022 THIS CERTIFIES that the building ACCESSORY GARAGE Location of Property: 745 Golf View Ct., East Marion SCTM#: 473889 See/Block/Lot: 30.-2-132 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/20/2019 pursuant to which Building Permit No. 46531 dated 7 1 2021...� was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: non-11abitable non-slee in accesso ara a as a lied for. The certificate is issued to Benson,Duleinea&DeCarlo,Frank of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 46531 5/18/2022 PLUMBERS CERTIFICATION DATED .th ri d atrere p�'WAl t/(, Town of Southold 10/1/2022 f P.O.Box 1179 ! 53095 Main Rd Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43465 . .......... /202 Date: 10.1�.�.......2......._. ... THIS CERTIFIES that the building IN GROUND POOL Location of Property: 745 Golf View Ct., East Marion V #• 2-132 C_M c �r_, . 473889 See/Block/Lot: Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated i ...._... 2 5/11/2021 pursuant to which Building Permit No. 46386 dated 6/8 2021� as issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: acesscry in round unite swixnmin ooi with fence to code as a lied for.. The certificate is issued to Benson,Dulcinea&DeCarlo,Frank of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 4636 8/31/2.021 PLUMBERS CERTIFICATION DATED _... ° i atur 7 °°d, Town of Southold 12/7/2022 g P.O.Box 1179 53095 Main Rd w„ Southold,New York 11971 CERTIFICATE OF OCCUPANCY No: 43659 Date: 12/7/2022 THIS CERTIFIES that the building ADDITION/ALTERATION Location of Property: 745 Golf View Ct., East Marion SCTM#: 473889 Sec/Block/Lot: 30.-2-132 Subdivision: Filed Map No. Lot No. conforms substantially to the Application for Building Permit heretofore filed in this office dated 5/20/2019 pursuant to which Building Permit No. 46532 dated 7/l/2021 „ was issued, and conforms to all of the requirements of the applicable provisions of the law. The occupancy for which this certificate is issued is: addition and alterations includi livin room belosan and batlroon to eistin siN le Tamil dwellin as a Lied for. This Certificate ofOccu anc ,lace CO -43466 issued 10/1/2022. The certificate is issued to Benson,Dulcinea&DeCarlo,Frank of the aforesaid building. SUFFOLK COUNTY DEPARTMENT OF HEALTH APPROVAL ELECTRICAL CERTIFICATE NO. 4653 5/25/2022 PLUMBERS CERTIFICATION DATED 6/9/2021 e omm nature odf76 745 GOLF VIEW C7` WcNua.MAIN HOUSE RED 2 2nd FLOOR 3[lc droom S Pathiumi I ntedor 3.400 SgFt/3[5.87SLIM RED r I'll Al, .- KITCHEN xY tYx�"4'.u- 4 OFFICE 11,'Ulw FI'-11`Y�fi RASPNIRNT I,I f"tl Ffl TrA kA Back to fisting 1)hiotos Save, � iorne Share RESIDENCE wu °a......,,..�°�� "R 71. 7' IX)FrLOUNGE 745 GOLF VIEW CT LOUNGE, MAIN HOUSE B r 1) "lid FLOOR 3 Bedroom 3)3athroom L TEI- I n terion 3,400 Sq Ft 315.87 Sq M *T(r,2SW INUNG BED I 1�jq 11-derion 2.26 acres KITCHEN Ist FLOOR HED 3 34'0 1,':CY 1:12- OFFICE f —f 10 RASHNIE.NT NOVO TEAM Douglas E111—Real Exid, ......... Off nnar III et., $2,333,500 (3 Ilbeds, 3 baths, 3,400 Squaire II ,Feet R K,11)ENCE 743 GOLF VIEW CT GARAGE 3 K,droom 3 P 1 tcii or:3,400 Sk 2�7 Sq X I lixte6 2.26 acrCS axm tv tst FLOOR I ov-,,A, V*ft NOVO TEAM I ESIDE4t'Ii _ u MAIN HO S D NC V, E nK)m '�f�ell�r�xketx �- ()m 1 Imedor:3.400 Sq Ft: 3t' S.87 t � ., � 0-.r5l;f,T F�II�L1FIc" _ t xte dor,2.26 acres , -4's X a3 .�. _j � = �, � Est I'L(g) F-7 RED,; OVO TEAM . tie Film III El ti a w. s � � s \� ��